Closed Rhinoplasty Korea for Crooked Nose and Hump (Male)

(Primary Rhinoplasty Case)

A crooked nasal bridge combined with a dorsal hump and nasal obstruction can affect both facial balance and breathing function.

In this case, osteotomy, hump reduction, rib cartilage tip reconstruction, and septoplasty were performed to correct structural deviation and restore nasal function using a closed rhinoplasty approach.

Author: Dr. Cha-Young Kang, Director, NoseLab Clinic

This case involves a primary rhinoplasty patient, a male in his early 20s, presenting with a deviated nasal bridge, dorsal hump, and chronic nasal obstruction.

From the frontal view, the nasal bridge was deviated from the midline. From the lateral view, a prominent dorsal hump was present along the mid-vault. The patient also exhibited septal deviation, contributing to nasal obstruction.

Additionally, a retracted columella resulted in an unfavorable nasolabial angle and insufficient tip projection, affecting the overall profile.

The patient sought a natural and masculine nasal contour without excessive height or artificial appearance, along with functional improvement. Structural correction in this case was performed using closed rhinoplasty korea, focusing on alignment, hump correction, and functional improvement.

If you are experiencing similar issues such as a crooked nose, dorsal hump, or nasal obstruction, a structural evaluation is important to determine the appropriate surgical plan.

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Surgical Background – Closed Rhinoplasty Korea

Correction of a crooked nose and dorsal hump requires accurate repositioning of the nasal bones, dorsal contour correction, and stable nasal tip support.

For this reason, closed rhinoplasty korea was selected to allow precise internal osteotomy, septal correction, and tip reconstruction without external incisions. This approach is particularly important in male rhinoplasty, where subtle correction and preservation of natural proportions are critical.

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Structural Problems Identified

Preoperative structural analysis revealed:

• Deviated nasal bones

• Dorsal hump deformity

• Septal deviation

• Chronic nasal obstruction

• Retracted columella

• Insufficient nasal tip projection

These structural issues required both functional and aesthetic correction.

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Structural Alignment and Functional Correction

Osteotomy for Crooked Nasal Bones

• Lateral osteotomy to reposition deviated nasal bones

• Correction of asymmetry

• Narrowing and straightening of the nasal bridge

Dorsal Hump Reduction

• Removal of dorsal hump

• Creation of smooth dorsal aesthetic line

Nasal Tip Reconstruction

• Tip reconstruction using donor rib cartilage and septal cartilage

• Reinforcement of nasal tip support

• Adjustment of tip projection and rotation for a natural masculine profile

Septoplasty and Functional Nasal Surgery

• Septoplasty to correct septal deviation

• Turbinate reduction to improve airflow

• Restoration of nasal breathing

Dorsal Augmentation and Columella Correction

• Custom-carved implant for appropriate dorsal height

• Correction of retracted columella

• Adjustment of nasolabial angle to improve profile balance

Surgical Results

Before Surgery (Left) / Immediately After Surgery (Right)

Frontal View

• Straightened nasal bridge aligned with facial midline

• Improved symmetry

• Narrower nasal bridge

Before Surgery (Left) / Immediately After Surgery (Right)

Lateral View

• Smooth dorsal line after hump correction

• Improved tip projection

• Balanced nasolabial angle

Before Surgery (Left) / Immediately After Surgery (Right)

Oblique (45°) View

• Natural nasal contour

• Balanced bridge-to-tip relationship

Before Surgery (Left) / Immediately After Surgery (Right)

Functional Outcome

• Significant improvement in nasal airflow

• Relief of nasal obstruction

Surgeon’s Commentary – Male Rhinoplasty and Structural Alignment

Male rhinoplasty requires a different approach compared to female rhinoplasty. Maintaining a natural and masculine appearance is critical, and overcorrection—such as excessive tip rotation or overly high dorsal height—must be avoided.

In this case, multiple structural issues were addressed simultaneously. Osteotomy was used to correct the deviated nasal bones, while rib cartilage and septal cartilage were used to reconstruct and stabilize the nasal tip.

The dorsal contour was completed using a custom-carved implant tailored to the patient’s anatomy, ensuring a natural transition without excessive prominence.

Correction of the retracted columella and adjustment of the nasolabial angle were essential for improving the side profile and achieving overall facial balance.

By combining functional surgery with structural reconstruction, both breathing and aesthetic outcomes were significantly improved.

Male rhinoplasty focuses on structural alignment, functional improvement, and preservation of masculine facial proportions.

📩 International Consultation

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Frequently Asked Questions (FAQ)

1. Is rhinoplasty different for male patients?

Yes. Maintaining a natural and masculine appearance is essential, avoiding over-rotation or excessive height.

2. Why is osteotomy necessary for a crooked nose?

It allows repositioning of nasal bones to restore symmetry and alignment.

3. Can functional problems be corrected during rhinoplasty?

Yes. Septoplasty and turbinate reduction can improve breathing along with aesthetic outcomes.

🎥 YouTube Reference

If you’re curious about Dr. Cha-Young Kang’s closed rhinoplasty approach, click to watch the video.

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